1881735389 NPI number — JUSTICE RESOURCE INSTITUTE, INC.

Table of content: (NPI 1700793007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881735389 NPI number — JUSTICE RESOURCE INSTITUTE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUSTICE RESOURCE INSTITUTE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881735389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 GOULD ST
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
NEEDHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02494
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-559-4900
Provider Business Mailing Address Fax Number:
781-559-4901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2346 POST ROAD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
WARWICK
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02886
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-944-5694
Provider Business Practice Location Address Fax Number:
401-946-0365
Provider Enumeration Date:
02/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DOKOV
Authorized Official First Name:
BISSER
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO & EVP
Authorized Official Telephone Number:
781-559-4900

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320900000X , with the licence number: 296 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 322D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: JR04345 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: JR55240 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: MB04099 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 601400002 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: SW04098 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".




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